Iskanje po katalogu digitalne knjižnice

Opis: Abstract Background Virtual reality (VR) is emerging in adult Basic Life Support (BLS) training, but its acceptance among older adults has not been fully studied. This study aimed to develop expert-informed BLS content for both VR and laptop formats, and to evaluate the feasibility, usability, knowledge acquisition, satisfaction, and cybersickness of these platforms among older adult learners. Methods A two-phase mixed-methods study was conducted. Five experts co-developed and validated a VR/laptop-compatible adult BLS scenario based on the 2021 European Resuscitation Council guidelines. This scenario was then tested by older adults who voluntarily participated in either VR- or laptop-based training at a public technology event in Spain. Post-training, we measured knowledge acquisition, usability, satisfaction, user experience, and cybersickness. Comparative statistics and regression analyses were performed to evaluate learning outcomes and predictors. Results Five experts developed a consensus-based adult BLS decision tree with 10 scenes and six questions. A total of 583 adults (mean age 72.3 ± 4.8 years) took part in the BLS training evaluation. Those in the VR group (n = 415) outperformed those in the laptop group (n = 168) in key steps, including initiating CPR (58 % vs 41 %, p < 0.001) and using an AED (49 % vs 23 %, p < 0.001). VR participants rated usability of VR-training as excellent (73.8 ± 4.2), expressed high satisfaction and realism. Cybersickness was low (13.1 %). VR training predicted higher knowledge scores (β = 5.8, p < 0.001), and increased scores by 5.8 points over laptop training. VR participants were 2.3 times more likely to answer BLS questions correctly (OR = 2.3, 95 % CI: 1.6–3.2, p < 0.001) Conclusion VR could improve adult BLS knowledge in older adults, with high levels of acceptance and positive user experience. Future work should enhance accessibility and reduce discomfort.
Ključne besede: Older adults, Training methods, Virtual reality, Cardiopulmonary resuscitation, Basic Life Support, Knowledge, Usability
Objavljeno v DKUM: 29.10.2025; Ogledov: 0; Prenosov: 0
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Opis: Existing research indicates that dietary habits spread through social networks, yet the impact on populations in Eastern Europe, particularly in rural areas, is less understood. We examine the influence of personal networks on the consumption of high-salt processed foods among individuals in rural Romania, with a specific focus on older adults. Using a personal network analysis, we analyze data from 83 participants of varying ages and their social contacts through multi-level regression models. The inclusion of participants across a wider age range allows us to capture the broader dynamics of social networks, reflecting the intergenerational nature of rural communities. Our findings reveal assortativity in dietary habits, indicating that individuals cluster with others who share similar food consumption patterns. Our results underscore the need for public health interventions that account for the influence of social networks on dietary behavior, as addressing high salt intake and its associated health risks may require considering the broader social context beyond older adults. The study contributes to understanding the social determinants of dietary behaviors and highlights the role of personal networks in shaping food choices in vulnerable populations.
Ključne besede: processed food, older adults, social networks, assortativity, Romania, Eastern Europe
Objavljeno v DKUM: 31.03.2025; Ogledov: 0; Prenosov: 8
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Opis: Introduction: Health literacy is an important predictor of health behavior and self-rated health, playing a crucial role in shaping public health outcomes. Valid and reliable health literacy assessments are essential for effectively tailoring health interventions, particularly in different cultural contexts. Several questionnaires have been developed to measure health literacy, including the widely used 47-item Health Literacy Questionnaire and its shorter versions. However, the validity of these shorter and more time efficient HLS-EU versions, such as the 16-item HLS-EU-Q16, has been less extensively researched in different age subgroups. Given Slovenia’s aging population and the differences in health literacy between adults and older adults, it is important to assess whether the HLS-EU-Q16 performs reliably across these groups. Therefore, the present study aimed to examine the validity and reliability of the 16-item health literacy questionnaire (HLS-EU-Q16) in Slovenia across two age groups: adults and older adults. Methods: We analyzed representative Slovenian sample data from the Health Literacy of Adults study. The sample included 2,327 adults aged 23–64 years (53.7% women) and 876 older adults aged 65–99 years (55.7% women). Results: Construct validity revealed a modified three-factor structure of the HLS-EU-Q16 among adults, reflecting a broader conceptualization of health literacy that encompasses overlapping domains of health promotion, disease prevention, and health care. In contrast, a two-factor structure emerged among older adults, indicating a more consolidated approach where these domains are perceived as part of an integrated health management strategy. This suggests that adults may conceptualize health literacy across multiple, yet interconnected dimensions, while older adults approach it more holistically. Convergent validity, reliability, concurrent-predictive, concurrent, and discriminant validity results were satisfactory for both age groups. Predictive validity, however, provided somewhat inadequate results, as the tool poorly predicted certain health behaviors, such as smoking, alcohol consumption, and physical activity, in both age groups. Conclusion: Overall, the HLS-EU-Q16 demonstrated adequate validity and reliability among both adults and older adults, indicating that it is an appropriate instrument for assessing health literacy in Slovenia.
Ključne besede: HLS-EU-Q16, Slovenia, health literacy, adults, validity
Objavljeno v DKUM: 14.03.2025; Ogledov: 0; Prenosov: 10
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Opis: Although Slovenia is becoming an aging society, very little is known about the abilities and needs of home-dwelling older people or their preferences regarding assistance. The aim of the study was to explore the need for assistance in daily activities among older Slovenian people living at home. Older adults aged between 65 and 97 years (N = 358) participated in the crosssectional survey study. A questionnaire that assessed independence in daily activities and assistance in the home environment was developed. Data were analyzed using descriptive statistics, a nonparametric test (Wilcoxon signed rank test), and the chi-square test. The results showed that older Slovenians were more independent in activities of daily living (ADLs) than instrumental activities of daily living (IADLs). Independence was the highest for using the toilet, feeding, and mobility transfers, and the lowest for bathing. With IADLs, assistance was most often required with shopping and housework; this assistance was usually provided by family members. The provider of assistance was generally compatible with older people’s preferences concerning assistance at home. We found no differences in care preferences between urban and rural settings. Assistance in the home environment was predominantly provided by unpaid helpers, which reflects recent developments in health and social services that put an emphasis on a person’s social network. Due to demographic changes and the decrease in the number of adult children, reliance on close relatives might soon become a challenge. These findings can help policy makers understand older people’s choices and preferences better when planning long-term care.
Ključne besede: older adults, activities of daily living, intergenerational support, long-term care, aging in place
Objavljeno v DKUM: 14.07.2023; Ogledov: 518; Prenosov: 45
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Opis: Young adults are individuals facing responsibilities, privileges, opportunities, and important developmental changes that accompany the period of emerging adulthood. Increases in various mood changes, anxiety and depression symptoms, widespread use of coping strategies, increased alcohol consumption and alcohol related problems are not uncommon during this time. The main aim of the current study was to examine the relationship between anxiety and alcohol consumption among young adults. Additionally, the effect of gender as a moderator, and avoidant coping and satisfaction with life as mediators, was tested and analysed. The participants were a part of a large national study of young people’s mental health in Ireland (My World Survey 2). The final sample included 5859 young adults aged 18 to 25 years, 71,2% of whom were females. The measures used in the current study were Alcohol Use Disorders Identification Test, Anxiety Subscale in the Depression, Anxiety and Stress Scale, Avoidant Coping Subscale in the Adapted Coping Strategy Indicator and the Satisfaction with Life Scale. The results indicated that anxiety significantly predicted alcohol consumption, however, explained only 0,9 % of the total variance. The gender moderation analysis indicated that gender was a significant moderator in the relationship between anxiety and alcohol consumption. While the results notably indicated that increases in anxiety led to higher alcohol consumption in both males and females, the association was significantly stronger for the former. Further, avoidant coping was found to mediate the relationship between anxiety and alcohol use. Young adults that experienced higher anxiety symptoms were more likely to use avoidant coping strategies, which in turn led to higher alcohol consumption. Satisfaction with life did not mediate the relationship between anxiety and alcohol consumption. As such, the current study offers additional insights on the relationship between anxiety and alcohol consumption among young adults.
Ključne besede: young adults, alcohol consumption, alcohol-related problems, anxiety, avoidant coping, satisfaction with life
Objavljeno v DKUM: 31.05.2021; Ogledov: 1193; Prenosov: 115
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